| Mco Peds Pllc | |
|
404 S Elm St Ste D Jenks OK 74037-3766 | |
| (918) 998-0998 | |
| (918) 998-0998 |
| Full Name | Mco Peds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 404 S Elm St Ste D, Jenks, Oklahoma |
| Authorized Official Name and Position | Creed Cardon (OWNER) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mco Peds Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Mco Peds Pllc 404 S Elm St Ste D Jenks OK 74037-3766 Ph: (918) 998-0998 |
| NPI Number | 1053832675 |
|---|---|
| Provider Enumeration Date | 07/05/2017 |
| Last Update Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053832675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6362 (Oklahoma) | Primary |
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